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  1. Article ; Online: Metachronous Kidney Autotransplantation in a Patient with Fibromuscular Dysplasia.

    Decraemer, Gilles / Mufty, Hozan

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2024  

    Language English
    Publishing date 2024-04-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2024.04.010
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  2. Article ; Online: Always Check Before You Glue.

    Mufty, Hozan / Maleux, Geert

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2022  Volume 65, Issue 3, Page(s) 413

    Language English
    Publishing date 2022-12-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2022.11.025
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  3. Article ; Online: Is silver still the Holy Grail for vascular grafts?

    Mufty, Hozan / Fourneau, Inge

    The Journal of cardiovascular surgery

    2022  Volume 64, Issue 3, Page(s) 304–309

    Abstract: Vascular graft infection (VGI) remains one of the most difficult topics within the field of vascular surgery. Despite many preventive measures, infection risk remains present. Mortality and morbidity rates are high, both for peripheral and aortic VGI. ... ...

    Abstract Vascular graft infection (VGI) remains one of the most difficult topics within the field of vascular surgery. Despite many preventive measures, infection risk remains present. Mortality and morbidity rates are high, both for peripheral and aortic VGI. Articles reporting on the treatment of VGI are often small, heterogenous or even under reported, which is especially the case for the outcome of different bypass materials that can be used for peripheral VGI. This is one of the reasons why the evidence of which type of vascular graft that should be used in the current guidelines of the European Society of Vascular surgery on the treatment of aortic graft infection is limited to Level C,Class IIa. Nowadays, many types of grafts are being used to treat VGI such as autologous veins, cryopreserved allografts, rifampicin-soaked grafts and silver coated grafts. The antimicrobial effect of silver has been translated to vascular grafts from other disciplines. Nowadays it is commercially off the shelf available and often used in the daily practice, both in the prevention as in the treatment of VGI. The aim of this review was to report on the antimicrobial working mechanism of silver, to report on possible side effects and to summarize in vitro, in vivo and clinical evidence of silver coated vascular grafts, both in the treatment and prevention of VGI.
    MeSH term(s) Humans ; Silver ; Blood Vessel Prosthesis/adverse effects ; Vascular Grafting ; Rifampin ; Prosthesis-Related Infections/prevention & control ; Prosthesis-Related Infections/surgery ; Prosthesis-Related Infections/etiology ; Blood Vessel Prosthesis Implantation/adverse effects
    Chemical Substances Silver (3M4G523W1G) ; Rifampin (VJT6J7R4TR)
    Language English
    Publishing date 2022-12-19
    Publishing country Italy
    Document type Review ; Journal Article
    ZDB-ID 80143-4
    ISSN 1827-191X ; 0021-9509
    ISSN (online) 1827-191X
    ISSN 0021-9509
    DOI 10.23736/S0021-9509.22.12538-3
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  4. Article ; Online: Anatomical feasibility of an endovascular aortic arch repair with the NEXUS endograft in patients treated with a frozen elephant trunk procedure for aortic arch pathology.

    Exelmans, Ward / Mufty, Hozan / Maleux, Geert / Verbrugghe, Peter / Fourneau, Inge

    CVIR endovascular

    2023  Volume 6, Issue 1, Page(s) 10

    Abstract: Background: The aim of this study was to evaluate the feasibility of an endovascular repair, using the NEXUS™ Aortic Arch Stent Graft System, in a real-world cohort of patients, treated with a Frozen Elephant Trunk (FET) procedure for pathology ... ...

    Abstract Background: The aim of this study was to evaluate the feasibility of an endovascular repair, using the NEXUS™ Aortic Arch Stent Graft System, in a real-world cohort of patients, treated with a Frozen Elephant Trunk (FET) procedure for pathology involving the aortic arch.
    Results: The preoperative computed tomography angiography scans of 37 patients were retrospectively analyzed using a dedicated workstation. In total, seven patients (N = 7/37; 18.9%) were eligible for endovascular repair. This number increased to eleven patients (N = 11/37; 29.7%) if an additional relining of the distal aorta would be performed. Device suitability was 47.1% in patients (N = 8/17; 47.1%) with aortic arch aneurysm, 12.5% (N = 1/8; 12.5%) in patients with an acute Stanford type A dissection and 50% (N = 2/4; 50%) in patients with Crawford type II thoraco-abdominal aneurysm. The stent graft was not suitable for any of the two patients with chronic type B dissection (N = 0/2; 0%). In 22 patients (N = 22/37; 59.5%) an endovascular repair with this type of stent graft was not feasible due to an inadequate proximal sealing zone. There was no suitable brachiocephalic trunk landing zone in 13 patients (N = 13/37; 35.1%). There was no suitable distal landing zone distal in 14 patients (N = 14/37; 36.8%). This number decreased to ten patients (N = 10/37; 27.0%) when considering an additional relining of the distal aorta.
    Conclusions: Endovascular repair with the NEXUS single branch stent graft is feasible in a minority of this real-world cohort that underwent a Frozen Elephant Trunk procedure. However, the applicability of this device probably improves in cases with isolated aortic arch aneurysms.
    Language English
    Publishing date 2023-03-02
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2520-8934
    ISSN (online) 2520-8934
    DOI 10.1186/s42155-023-00355-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Renal Artery Thromboembolism during Fenestrated Endovascular Aneurysm Repair Managed with a Stent Retriever.

    Maleux, Geert / Houthoofd, Sabrina / Mufty, Hozan

    Journal of vascular and interventional radiology : JVIR

    2022  Volume 33, Issue 10, Page(s) 1260–1261

    MeSH term(s) Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Endovascular Procedures/adverse effects ; Humans ; Prosthesis Design ; Renal Artery/diagnostic imaging ; Stents ; Thromboembolism ; Treatment Outcome
    Language English
    Publishing date 2022-07-16
    Publishing country United States
    Document type Letter
    ZDB-ID 1137756-2
    ISSN 1535-7732 ; 1051-0443
    ISSN (online) 1535-7732
    ISSN 1051-0443
    DOI 10.1016/j.jvir.2022.07.012
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  6. Article ; Online: Ovation Relining with Ovation Stent Graft.

    Mufty, Hozan / Maleux, Geert

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2020  Volume 61, Issue 4, Page(s) 569

    MeSH term(s) Aged ; Aortic Aneurysm/diagnostic imaging ; Aortic Aneurysm/surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Embolization, Therapeutic ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Endoleak/surgery ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Foreign-Body Migration/diagnostic imaging ; Foreign-Body Migration/etiology ; Foreign-Body Migration/surgery ; Humans ; Iliac Aneurysm/diagnostic imaging ; Iliac Aneurysm/therapy ; Prosthesis Design ; Reoperation ; Stents ; Treatment Outcome
    Language English
    Publishing date 2020-12-23
    Publishing country England
    Document type Case Reports
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2020.11.049
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  7. Article ; Online: Direct puncture versus contralateral femoral artery approach for catheter-directed thrombolysis of occluded infra-inguinal arterial bypass grafts.

    Verelst, H / Bonne, L / Mufty, H / Claus, E / Houthoofd, S / Verhamme, P / Fourneau, I / Maleux, G

    Clinical radiology

    2023  Volume 78, Issue 12, Page(s) e1001–e1009

    Abstract: Aim: To compare the safety, effectiveness, and clinical outcome of percutaneous direct puncture approach versus contralateral femoral native vessel approach for catheter-directed thrombolysis of occluded infra-inguinal bypass grafts.: Materials and ... ...

    Abstract Aim: To compare the safety, effectiveness, and clinical outcome of percutaneous direct puncture approach versus contralateral femoral native vessel approach for catheter-directed thrombolysis of occluded infra-inguinal bypass grafts.
    Materials and methods: A retrospective analysis was performed comprising a cohort of patients who underwent catheter-directed thrombolysis procedures of occluded infra-inguinal bypass grafts between January 2013 and January 2022, with a follow-up period until June 2022. This included 55 procedures via the native vessel approach and 18 procedures via the direct puncture approach. Primary outcomes were technical success and procedural safety; secondary outcomes included re-intervention rate, limb salvage, and mortality as assessed by log-rank testing and Kaplan-Meier curves.
    Results: There were no differences between the two groups with regard to patient demographics, except for the number of previous vascular procedures (n=6.83 ± 3.07 direct approach versus n=4.96 ± 2.79 native vessel approach, p=0.025). Thrombolysis was comparably successful in both groups (n=13/18; 72% direct approach versus n=42/55; 76%, p=0.723). There were no differences in the duration of thrombolysis administration. The rate of adverse events was slightly lower in the direct approach group, but without significance (p=0.092). There were no adverse events related to the puncture site in the direct approach group. No differences were found between the time-to-event values for re-occlusion, re-intervention, amputation, or mortality respectively (p=0.662; p=0.520; p=0.816; p=0.462).
    Conclusion: The direct puncture approach seems to be a safe and efficient approach for catheter-directed thrombolysis procedures in infra-inguinal occluded bypass grafts, with clinical outcomes comparable to the native vessel approach.
    MeSH term(s) Humans ; Fibrinolytic Agents/adverse effects ; Femoral Artery/surgery ; Thrombolytic Therapy/methods ; Graft Occlusion, Vascular ; Retrospective Studies ; Treatment Outcome ; Catheters ; Punctures ; Ischemia/surgery ; Vascular Patency
    Chemical Substances Fibrinolytic Agents
    Language English
    Publishing date 2023-09-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 391227-9
    ISSN 1365-229X ; 0009-9260
    ISSN (online) 1365-229X
    ISSN 0009-9260
    DOI 10.1016/j.crad.2023.08.028
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  8. Article ; Online: Gastric erosion by abscess 15 years after mesenteric bypass surgery.

    Mufty, H / Fourneau, I

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2017  Volume 54, Issue 1, Page(s) 93

    Language English
    Publishing date 2017-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2017.02.034
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  9. Article ; Online: Ventriculoperitoneal Shunt Alone Does Not Guarantee Spinal Cord Protection After Complex Aortic Aneurysm Repair.

    Colle, Arnaud / De Vloo, Philippe / Mufty, Hozan

    EJVES vascular forum

    2020  Volume 48, Page(s) 32–34

    Abstract: Introduction: Spinal cord ischaemia (SCI) is a devastating complication of the treatment of thoraco-abdominal aneurysms. Peri-operative cerebrospinal fluid (CSF) drainage, typically using a spinal catheter, is a possible preventive measure. There are no ...

    Abstract Introduction: Spinal cord ischaemia (SCI) is a devastating complication of the treatment of thoraco-abdominal aneurysms. Peri-operative cerebrospinal fluid (CSF) drainage, typically using a spinal catheter, is a possible preventive measure. There are no reports or guidelines on peri-operative CSF drainage for this indication in patients with a ventriculoperitoneal (VP) shunt.
    Report: A single case of a patient suffering SCI after fenestrated endovascular aortic repair for the treatment of a pararenal aneurysm after previous open repair of an infrarenal aortic aneurysm is presented. Despite the presence of a patent VP shunt, elevated CSF pressures were observed after placement of a CSF drain.
    Discussion: A VP shunt with a gravitational component may drain insufficiently in bedridden patients who often lie with their head tilted on a cushion. In this position, both the differential pressure component and the gravitational component become active, thereby increasing the overall resistance to CSF outflow, hence increasing intracranial and intraspinal pressure. VP shunts with gravitational components should be managed with caution in the setting of prophylactic or therapeutic drainage of CSF to prevent SCI in extensive aortic repair. For reliable CSF pressure monitoring or active drainage in case of symptoms, the insertion of a spinal drain is indicated.
    Language English
    Publishing date 2020-08-02
    Publishing country England
    Document type Case Reports
    ISSN 2666-688X
    ISSN (online) 2666-688X
    DOI 10.1016/j.ejvsvf.2020.07.030
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  10. Article ; Online: Late hematogenous seeding and infection of a femoropopliteal Omniflow II bypass.

    Mufty, Hozan / Houthoofd, Sabrina / Daenens, Kim / Fourneau, Inge

    Vascular

    2020  Volume 29, Issue 5, Page(s) 720–722

    Abstract: Introduction: Omniflow II is promoted as an infection-resistant vascular graft. It is used to treat vascular graft infection; nevertheless, early graft infection has been reported.Report: A 71-year-old patient was treated with an Omniflow II bypass for ... ...

    Abstract Introduction: Omniflow II is promoted as an infection-resistant vascular graft. It is used to treat vascular graft infection; nevertheless, early graft infection has been reported.Report: A 71-year-old patient was treated with an Omniflow II bypass for a non-healing diabetic foot ulcer. Seven months postoperatively, late infection occurred secondary to hematogenous spread from a persistent foot infection.
    Conclusion: We report on the first case of late infection of an Omniflow II vascular graft caused by hematogenous spread. Despite promising results of the Omniflow II graft in the treatment of vascular graft infection, late infection may not be avoided.
    MeSH term(s) Aged ; Amputation ; Blood Vessel Prosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/instrumentation ; Femoral Artery/surgery ; Humans ; Male ; Peripheral Arterial Disease/surgery ; Popliteal Artery/surgery ; Prosthesis Design ; Prosthesis-Related Infections/diagnosis ; Prosthesis-Related Infections/microbiology ; Prosthesis-Related Infections/surgery ; Staphylococcal Infections/diagnosis ; Staphylococcal Infections/microbiology ; Staphylococcal Infections/surgery ; Staphylococcus aureus/isolation & purification ; Time Factors ; Treatment Outcome
    Language English
    Publishing date 2020-11-26
    Publishing country England
    Document type Case Reports
    ZDB-ID 2137151-9
    ISSN 1708-539X ; 1708-5381
    ISSN (online) 1708-539X
    ISSN 1708-5381
    DOI 10.1177/1708538120974151
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